Provider Demographics
NPI:1285931469
Name:BERGER, LAURIE JOI SCHEER (MPT)
Entity type:Individual
Prefix:MS
First Name:LAURIE
Middle Name:JOI SCHEER
Last Name:BERGER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 CRAPE MYRTLE DR
Mailing Address - Street 2:
Mailing Address - City:PONTE VEDRA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32082-4609
Mailing Address - Country:US
Mailing Address - Phone:904-543-0614
Mailing Address - Fax:
Practice Address - Street 1:151 SAWGRASS CORNERS DR
Practice Address - Street 2:STE. 117
Practice Address - City:PONTE VEDRA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32082-3553
Practice Address - Country:US
Practice Address - Phone:904-371-4649
Practice Address - Fax:888-393-1099
Is Sole Proprietor?:No
Enumeration Date:2011-02-23
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT9200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist